Key to Life Homecare Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KEY TO LIFE HOMECARE INC.

Practice address

2657 E 14TH St
Brooklyn, NY 11235-3915

Phone

(347) 704-0494

Fax

(347) 704-7336

NPI assigned

Oct 28, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gvantsa Ramishvili

Title

Administrator

Phone

(347) 704-0494

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1124661608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2657 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353915",
            "telephone_number": "347-704-0494",
            "fax_number": "347-704-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2657 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353915",
            "telephone_number": "347-704-0494",
            "fax_number": "347-704-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY TO LIFE HOMECARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "RAMISHVILI",
        "authorized_official_first_name": "GVANTSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "347-704-0494"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.